Individual
KRISTY NASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 ROSEHILL DR, SOUTH BOSTON, VA 24592-4843
(434) 517-7527
Mailing address
611 GREENWAY DR, SOUTH BOSTON, VA 24592-1713
(434) 517-1174
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602535
VA
Other
Enumeration date
01/21/2019
Last updated
01/21/2019
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